The effect of total hip arthroplasty on sagittal spinal–pelvic–leg alignment and low back pain in patients with severe hip osteoarthritis

2016 ◽  
Vol 25 (11) ◽  
pp. 3608-3614 ◽  
Author(s):  
Wenjie Weng ◽  
Hao Wu ◽  
Mingda Wu ◽  
Yawen Zhu ◽  
Yong Qiu ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Hip Osteoarthritis ◽  
Low Back ◽  
Total Hip ◽  
Leg Alignment

scholarly journals THA First: Low Back Pain in Patients with Both Hip Osteoarthritis and Lumbar Degenerative Disease is Relieved after Total Hip Arthroplasty

2020 ◽  
Author(s):  
Tianfei Ran ◽  
Song Ke ◽  
Mingrui Lv ◽  
Jie Li ◽  
Xin Song ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Hip Osteoarthritis ◽  
Degenerative Disease ◽  
Low Back ◽  
Lumbar Degenerative Disease ◽  
Total Hip ◽  
Operation Group

Abstract Background: With the aging of population, the number of patients suffering from hip osteoarthritis complicated with lumbar degenerative disease is increasing. Both diseases may require surgery, however, which is first? the sequence of total hip arthroplasty (THA) and lumbar surgery remains controversial. Methods: The data of our hospital, from 2010 to 2019 were retrieved, and a group of patients who had undergone total hip replacement (THA, n = 153) and also suffered from lumbar degenerative diseases were identified. We studied the improvement of hip joint function and the relief of low back pain (LBP), and also discussed the effect of unilateral and bilateral THA on the relief of LBP. Results: The LBP visual analysis scale (VAS) of 153 patients decreased from (4.13 ± 1.37) preoperatively to (1.90 ± 1.44) postoperatively. The average Harris Hip score (HHS) increased from 45.33 ± 13.23 preoperatively to 86.44 ± 7.59 postoperatively of the latest follow-up. According to Japanese Orthopedic Association (JOA) scoring system, the proportion of patients with good response to treatment in the clinical results of these 153 patients reached 93.46%. LBP VAS decreased from 4.18 ± 1.38 preoperatively to 1.95 ± 1.49 postoperatively in unilateral group and from 3.94 ± 1.32 preoperatively to 1.73 ± 1.23 postoperatively in bilateral group respectively. These results showed that the lumbar pain was relieved significantly after surgery. Conclusion: THA can relieve LBP while relieve hip pain and restore hip function. And the relief of LBP and recovery of lumbar function in unilateral operation group were better than those in bilateral operation group. These findings can be helpful to surgeons in making decisions. For patients with both hip disease and lumbar degenerative disease, THA first may bring additional benefits to patients.

scholarly journals Hip-Spine Syndrome: Study of Low Back Pain and Pelvic Inclination after Total Hip Arthroplasty in Osteoarthrosis of the Hip.

2003 ◽  
Vol 52 (2) ◽  
pp. 356-360 ◽  
Author(s):  
Tadatsugu Morimoto ◽  
Katsuhiro Aida ◽  
Keisuke Nishida ◽  
Kenji Tsunoda ◽  
Kazumasa Maeda ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Low Back ◽  
Total Hip ◽  
Pelvic Inclination

The Effect of Total Hip Arthroplasty on Preoperative Low Back Pain in Secondary Hip-Spine Syndrome: A Radiographic Study

2015 ◽  
Vol 15 (10) ◽  
pp. S152-S153
Author(s):  
Xiao Han ◽  
Weijun Wang ◽  
Mingda Wu ◽  
Fei Liu ◽  
Minghui Sun ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Low Back ◽  
Radiographic Study ◽  
Total Hip

scholarly journals Factors Associated With Early Improvement in Low Back Pain After Total Hip Arthroplasty: A Multi-Center Prospective Cohort Analyses

2016 ◽  
Vol 31 (1) ◽  
pp. 176-179 ◽  
Author(s):  
Peter C. Chimenti ◽  
Christopher J. Drinkwater ◽  
Wenjun Li ◽  
Celeste A. Lemay ◽  
Patricia D. Franklin ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Prospective Cohort ◽  
Low Back ◽  
Early Improvement ◽  
Factors Associated ◽  
Total Hip ◽  
Cohort Analyses

scholarly journals Effect of Spinal Alignment Changes on Low Back Pain in Patients Treated with Total Hip Arthroplasty for Hip Osteoarthritis

2020 ◽  
Author(s):  
Fumiko Saiki ◽  
Takeyuki Tanaka ◽  
Naohiro Tachibana ◽  
Hirofumi Oshima ◽  
Taizo Kaneko ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Total Hip Arthroplasty ◽  
Hip Joint ◽  
Hip Arthroplasty ◽  
Low Back ◽  
Spinal Alignment ◽  
Total Hip ◽  
Patient Reported ◽  
Spinal Sagittal Alignment

Abstract BackgroundTotal hip arthroplasty (THA) is an established procedure for patients with osteoarthritis (OA) of the hip joint that effectively relieves pain and restores function. Because contracture of the hip joint as well as preoperative leg length discrepancy is expected to improve by the surgery, it would be reasonable to speculate that spinal sagittal alignment will also change. However, the influence of spinal alignment changes on clinical symptoms, such as low back pain (LBP), remains controversial. In this study, we aimed to evaluate the associations between spinal alignment changes and improvement in preoperative LBP after THA.MethodsFrom November 2015 to January 2017, 104 consecutive patients who underwent THA were prospectively enrolled. Whole spine X-rays were obtained preoperatively and 12 months postoperatively. The patient-reported outcomes (PROs) used were the Numerical Rating Scale (NRS) for back pain, EuroQol 5 Dimension, and Short Form-12. The presence of LBP was defined as an NRS of ≥4. Changes in spinal alignment and PROs before and after surgery were evaluated.ResultsSeventy-four (71%) patients were included in the study. The sagittal spinal parameters changed slightly but significantly; pelvic incidence (PI) decreased, pelvic tilt (PT) increased, and sacral slope decreased. Coronal spinal alignment significantly improved after surgery. Twenty-six (37%) patients had LBP preoperatively. The patients with preoperative LBP had smaller lumbar lordosis (LL), larger PT, and larger PI minus LL than those in the patients without. Fourteen (54%) of the 26 patients with preoperative LBP showed improvement, but there were no significant differences in the pre- and postoperative radiographic parameters.ConclusionAlthough preoperative LBP was likely to resolve after THR, there were no significant correlations between alignment changes and LBP improvement. The cause of LBP in patients with hip OA patients might be multifactorial.

scholarly journals Spinopelvic Alignment and Low Back Pain after Total Hip Replacement Arthroplasty in Patients with Severe Hip Osteoarthritis

2018 ◽  
Vol 12 (2) ◽  
pp. 325-334 ◽  
Author(s):  
Yawara Eguchi ◽  
Satoshi Iida ◽  
Chiho Suzuki ◽  
Yoshiyuki Shinada ◽  
Tomoko Shoji ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Japanese Orthopaedic Association ◽  
Hip Osteoarthritis ◽  
Direct Anterior Approach ◽  
Low Back ◽  
Lumbar Scoliosis ◽  
Total Hip ◽  
Replacement Arthroplasty ◽  
Before And After

<sec><title>Study Design</title><p>Retrospective observational study.</p></sec><sec><title>Purpose</title><p>We examined change in lumbrosacral spine alignment and low back pain (LBP) following total hip arthroplasty (THA) in patients with severe hip osteoarthritis (OA).</p></sec><sec><title>Overview of Literature</title><p>Severe hip osteoarthritis has been reported to cause spine alignment abnormalities and low back pain, and it has been reported that low back pain is improved following THA.</p></sec><sec><title>Methods</title><p>Our target population included 30 patients (29 female, mean age 63.5 years) with hip OA who underwent direct anterior approach THA. There were 12 cases with bilateral hip disease and 18 cases with unilateral osteoarthritis. Visual analogue scale (VAS) scores for LBP and coxalgia, the Roland-Morris Disability Questionnaire (RDQ), and the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ) were assessed before and after surgery. Spinal alignment metrics were measured before and after surgery.</p></sec><sec><title>Results</title><p>VAS for LBP change from preoperative to final postoperative observation was significantly improved (p &lt;0.05), as was VAS for hip pain (<italic>p</italic>&lt;0.001). RDQ improved significantly (<italic>p</italic>&lt;0.01). All five domains of JOABPEQ were significantly improved (<italic>p</italic>&lt;0.05). In terms of coronal alignment, lumbar scoliosis change from preoperative to last observation was significantly reduced (<italic>p</italic>&lt;0.05). There were no significant changes in the sagittal alignment metrics. In addition, there was a correlation between before and after RDQ difference and before and after lumbar scoliosis difference (<italic>p</italic>&lt;0.05). VAS for LBP (<italic>p</italic>&lt;0.05) as well as RDQ (<italic>p</italic>&lt;0.05) were significantly improved only in unilateral OA. Lumbar scoliosis was significantly improved in cases of unilateral OA (<italic>p</italic>&lt;0.05), but alignment did not improve in cases of bilateral OA (<italic>p</italic>=0.29).</p></sec><sec><title>Conclusions</title><p>The present study demonstrates improvements in VAS for LBP, RDQ, and all domains of JOABPEQ. There were also significant reductions in lumbar scoliosis and an observed correlation of RDQ improvement with lumbar scoliosis improvement. We were able to observe improvements in lumbar scoliosis and low back pain only in cases of unilateral OA. It has been suggested that the mechanism of low back pain improvement following THA is related to compensatory lumbar scoliosis improvement.</p></sec>

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